| NPI | 1104697861 |
|---|---|
| Doing Business As | MARIANO'S PHARMACY #0541 |
| Entity Type | Organization |
| Authorized Contact | KEVIN MCNAMARA Authorized Person 603-354-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-08-15 |